⚽ Referee Availability Form

Submit your availability for upcoming games

Referee Information

First Name *

Last Name *

Email Address *

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Please complete all fields below. Your information will be saved to our database so future submissions are faster.

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There is already a profile for in our system, registered under a different email address ().
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Contact Details

Phone Number *

Date of Birth * Used to calculate your age for game assignment purposes

👨‍👩‍👦 Parent / Guardian Information Required

Since you are under 18, a parent or guardian must be on file. A confirmation email will be sent to them.

Guardian First Name *

Guardian Last Name *

Guardian Email *

Street Address *

Town / City *

State *

Zip Code *

Number of Years Reffing *

Certification Level *

Gender *

Availability Details

Location Preferences

Preferred Locations * Select all locations you're willing to travel to

East Haddam Glastonbury Griswold Haddam-Killingworth Lebanon NECONN New London Portland RHAMYS Stonington Valley WAM

Maximum Travel Distance (miles)

Position Preferences

AR Only *

Age Groups Preferred * Select all age groups you prefer to referee

U8 U9 - U10 U11 - U12 U13 - U15 U16+

Additional Information

Notes or Special Requests

If you have questions about filling out this form, please contact your assignor.

Required fields are marked with *
Multiple dates: Use the "+ Add Another Day" button to add all your available dates in one submission
Changes: Submit a new form to update your availability